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RCM Auditor at Boomerang Healthcare Limited
Walnut Creek, California, United States - Full Time
Skills Needed
Revenue Cycle Management, Medical Auditing, Medical Coding, Cpt Coding, Hcpcs Coding, Icd 10 Coding, Denial Analysis, Charge Capture, Microsoft Excel, Pain Management Billing, Compliance Monitoring, Ncci Edits, Payment Posting, Ar Follow Up, Quality Assurance, Sop Development
Specialization
Requires a high school diploma (Associate degree preferred) and an active coding certification such as CPC or CCS. Candidates must have over 5 years of RCM experience, including 3+ years of auditing specifically within healthcare billing and pain management.
Experience Required
Minimum 5 year(s)
Medical Assistant at Cornerstone Family Healthcare
Newburgh, New York, United States - Full Time
Skills Needed
Patient Care, Screening Procedures, Ekg, Point Of Care Testing, Infection Control, Triage, Patient Safety, Clinical Documentation, Pediatric Care, Vision Screening, Hearing Screening
Specialization
Candidates must have a high school diploma or equivalent and a current BLS certification. Ability to work a varied schedule including some evenings and one Saturday per month is required.
Recruiter at Nordic Healthcare Group (NHG)
, , Netherlands - Full Time
Skills Needed
Talent Acquisition, Full Cycle Recruitment, Sourcing, Stakeholder Management, Employer Branding, Ats/Crm Management, Data Driven Hiring, Diversity & Inclusion, Market Intelligence, Negotiation, Interpersonal Communication, Microsoft Office
Specialization
Requires 3+ years of recruitment experience across multiple functions and proficiency in ATS and sourcing tools. English fluency is required, with Dutch or German language skills strongly preferred.
Experience Required
Minimum 2 year(s)
Disability support worker at Nidda Healthcare Holding GmbH
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Medical Laboratory Technologist at Favorite Healthcare Staffing
New Jersey, New Jersey, USA - Full Time
Skills Needed
N/A
Certified Surgical Tech (CST) at Tenet Healthcare Corporation
Boca del Mar, Florida, United States - Full Time
Skills Needed
Surgical Scrubbing, Patient Care, Aorn Standards, Operating Room Techniques, Instrument Maintenance, Performance Improvement, Invasive Procedures, Sterile Technique
Specialization
Requires a high school diploma, graduation from an approved operating room technologist program, and at least one year of experience as a CST. Must hold American Heart Association BLS and Surgical Technologist certification.
Facility Outpatient Coder Team Lead at HCA Houston Healthcare Conroe
Conroe, TX 77304, USA - Full Time
Skills Needed
Coding Experience, Scheduling, Health Information Management, Ccs, Rhia, Payer, Training, Account Resolution, Quality Reviews, It, External Clients, Leadership, Coding Practices, Reporting, Work Processes, Revenue Cycle Management, Rhit, Payroll, Color
Specialization
Him/hit strongly preferred
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Associate Business Development Manager (m/w/d) im Bereich Gesundheit & Phar at United Healthcare Partners AG
Weinheim, Baden-Württemberg, Germany - Full Time
Skills Needed
Business Development, Customer Needs Analysis, Market Research, Presentation Creation, Contract Drafting, Analytical Thinking, Communication Skills, Microsoft Excel, Microsoft Powerpoint, Virtual Collaboration, Time Management, German Language, English Language
Specialization
A degree in Business Administration, Health Management, Industrial Engineering, or a similar field is required along with initial experience in consulting, marketing, or business development. Proficiency in Excel, PowerPoint, and fluency in both German and English are essential.
Experience Required
Minimum 5 year(s)
Cleaning Validation Engineer at Klosterfrau Healthcare Group
Berlin, Berlin, Germany - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Physical Therapy Assistant at Tenet Healthcare Corporation
Houston, Texas, United States - Full Time
Skills Needed
Patient Treatment, Clinical Documentation, Neonatal Care, Geriatric Care, Patient Centered Care, Clinical Competency
Specialization
Requires an Associate of Physical Therapy Assistant degree or equivalent verified military training. One year of experience is preferred.
Medical Administrator at Trident Healthcare Solutions
Victoria, Victoria, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Registered Dietitian - Per Diem at Community Memorial Healthcare
San Buenaventura (Ventura), California, United States - Full Time
Skills Needed
Nutrition Care Planning, Patient Education, Clinical Dietetics, Modified Diets, Acute Care, Clinical Nutrition, Diabetes Education, Nutrition Support
Specialization
Requires a Bachelor's or Master's degree in Nutrition, completion of a supervised practice program, and CDR certification. Preference is given to candidates with two years of acute-care experience or specialized certifications like CDE.
Experience Required
Minimum 2 year(s)
Patient Service Representative - Ophthalmology at Tenet Healthcare Corporation
Ellsworth, Kansas, United States - Full Time
Skills Needed
Front Office Processes, Patient Care, Medical Office Administration, Patient Services, Healthcare Management
Specialization
Requires a high school diploma or GED and at least 2 years of experience in a medical office setting. Completion of a medical office assistant program or a healthcare administration certification is preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Rehab FT night at Tenet Healthcare Corporation
San Antonio, Texas, United States - Full Time
Skills Needed
Nursing Care, Patient Assessment, Rehabilitation Nursing, Acute Care, Chronic Dialysis, Psychiatric Care, Crisis Intervention, Basic Life Support, Patient Management
Specialization
Must be a graduate of an accredited school of nursing with a current Texas State License for Registered Nurses and active BLS certification. A Bachelor's degree and specific experience in acute care or dialysis are preferred depending on the unit.
Patient Care Tech (PCT) - PreOp at Tenet Healthcare Corporation
Phoenix, Arizona, United States - Full Time
Skills Needed
Customer Service, Computer Skills, Interpersonal Communication, Patient Rights Knowledge, Aseptic Technique, Sterile Technique, Infection Control, Ekg Training, Patient Care
Specialization
Requires a High School Diploma/GED or a CNA/PCA/PCT certificate and CPR certification. One year of acute care experience and a CNA/LNA license from the Arizona State Board of Nursing are preferred.
Respiratory Therapist (RT) at Tenet Healthcare Corporation
New Braunfels, Texas, United States - Full Time
Skills Needed
Respiratory Care, Patient Care, Basic Life Support, Advanced Cardiovascular Life Support, Pediatric Advanced Life Support, Neonatal Resuscitation Program
Specialization
Candidates must be graduates of an accredited AMA Respiratory Care Program and hold a current RCP State of Texas License and NBRC CRT/RRT certification. Active BLS is required upon hire, with ACLS, PALS, and NRP certifications to be completed within 60 days as applicable.
Dishwasher - PT at ForeFront Healthcare Pvt Ltd
Washington, District of Columbia, United States - Full Time
Skills Needed
Dishwashing, Sanitation, Food Preparation, Time Management, Infection Control, Safety Compliance, Cleaning Routines, Meal Service
Specialization
Candidates must be able to read, write, and speak English and possess basic numerical ability for measuring chemicals and recipes. Knowledge of sanitation, safety practices, and the ability to work flexible hours are required.
Certified Nursing Assistant (CNA) - Med Surg at Tenet Healthcare Corporation
Brownsville, Texas, United States - Full Time
Skills Needed
Basic Nursing Care, Intermediate Nursing Care, Patient Care Support, Phlebotomy, Ekg, Patient Monitoring, Compassionate Care, Medical Assisting
Specialization
Requires a high school diploma and a current state or national nurse's aide certification or related technical certification. BLS certification from the American Heart Association is required, with one year of hospital experience preferred.
Certified Nursing Assistant (CNA) at Tenet Healthcare Corporation
West Palm Beach, Florida, United States - Full Time
Skills Needed
Patient Care, Patient Safety Monitoring, Compassionate Care, Patient Visualization, Clinical Assistance, Environment Maintenance
Specialization
Candidates must have a high school diploma or GED and a valid Certified Nursing Assistant license. Required certifications include BLS/CPR and CPI within 30 days of hire.
Paramedic at Tenet Healthcare Corporation
Goodyear, Arizona, United States - Full Time
Skills Needed
Patient Care, Emergency Response, Communication, Teamwork, Stress Management, Time Management, Documentation, Assessment, Triage, Basic Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support, Growth And Development Knowledge, Splinting, Ekg Competency, Chest Tube Competency
Specialization
Candidates must be graduates of an EMT-P training course and possess relevant certifications such as ADHS Paramedic Certification. Knowledge of growth and development principles and the ability to provide age-appropriate care are also required.
RCM Auditor at Boomerang Healthcare Limited
Walnut Creek, California, United States -
Full Time

Start Date

Immediate

Expiry Date

12 Oct, 26

Salary

33.0

Posted On

14 Jul, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Revenue Cycle Management, Medical Auditing, Medical Coding, CPT Coding, HCPCS Coding, ICD-10 Coding, Denial Analysis, Charge Capture, Microsoft Excel, Pain Management Billing, Compliance Monitoring, NCCI Edits, Payment Posting, AR Follow-up, Quality Assurance, SOP Development

Industry

Hospitals and Health Care

Description
The Revenue Cycle Management Auditor is responsible for conducting comprehensive audits across all phases of the revenue cycle to ensure accuracy, compliance, and optimal reimbursement. This role is critical in identifying revenue leakage, reducing denials and strengthening internal controls and staff productivity requirements. The Auditor will evaluate charge capture, coding accuracy, documentation integrity, billing workflows, payment posting, denial follow-up, Appeals, and AR follow-up for RCM, clinical, and provider teams to drive continuous process improvement.  *This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA. What you will do: * Audit execution & oversight by performing routine and ad hoc audits across the full revenue cycle process, including:  * Charge entry and charge capture accuracy  * CPT, HCPCS, and ICD-10 coding compliance  * Modifier usage  * Workers’ compensation billing rules and state-specific fee schedules  * Claim submission accuracy and clean claim rates  * Payment posting and adjustment accuracy  * AR follow-up effectiveness and denial resolution workflows  * Conduct pre-bill and post-bill audits to identify trends impacting reimbursement and compliance  * Denial & Revenue leakage analysis:  * Analyze denial trends across WC, Medicare, and commercial payers  * Identify root causes of denials and recommend corrective actions  * Quantify revenue impact from:  * Coding errors  * Missed charges  * Underpayments  * Inefficient workflows  * Ensure adherence to:  * CMS guidelines and Medicare billing requirements  * NCCI (CCI edits) and payer-specific edits  * State Workers’ Compensation regulations  * Documentation standards for pain management procedures  * Support internal and external audit readiness (RAC, MAC, payer audits).  * Reporting & KPI development through audit dashboard  * Maintain monthly & quarterly records of all RCM, clinical, and provider audit scores and training requirements  * Partner with all BHC teams to develop and deliver targeted education based on audit findings.  * Assist in creating and updating SOPs and workflows to reduce errors and improve efficiency  * Establish and maintain quality assurance programs across RCM functions  * Perform routine QA reviews of staff productivity and accuracy  * Recommend automation opportunities and system enhancements  * Assumes other responsibilities as appropriate to the position and organizational needs Qualifications: * High school diploma or equivalent required; Associate degree preferred  * Active coding certification required: CPC, CCS, or equivalent (AAPC or AHIMA)  * 5+ years of experience in revenue cycle management   * 3+ years of auditing experience within healthcare billing or coding  * Strong experience in pain management  * Experience with Medicare and commercial payer guidelines  * Ability to work in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams  * Excellent communication skills with ability to present findings to providers and RCM leadership  * Advanced understanding of NCCI edits and payer-specific billing guidelines  * Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus  * Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications  Compensation Range:  $30.00 to $35.00 Hourly  All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations. Why You'll Love Working Here:  * Amazing work/life balance * Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)  * 401(K) Plan with Employer Matching  * License & Tuition Reimbursements * Paid Time Off * Holiday Pay & Floating Holiday * Employee Perks and Discount Programs * Supportive environment to help you grow and succeed Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC.  Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us. Monday-Friday, 8am-5pm 40
Responsibilities
Conduct comprehensive audits across the revenue cycle to ensure coding accuracy, compliance, and optimal reimbursement. Identify root causes of denials and revenue leakage while providing targeted education and updated SOPs to clinical and provider teams.
RCM Auditor at Boomerang Healthcare Limited
Walnut Creek, California, United States - Full Time
Skills Needed
Revenue Cycle Management, Medical Auditing, Medical Coding, Cpt Coding, Hcpcs Coding, Icd 10 Coding, Denial Analysis, Charge Capture, Microsoft Excel, Pain Management Billing, Compliance Monitoring, Ncci Edits, Payment Posting, Ar Follow Up, Quality Assurance, Sop Development
Specialization
Requires a high school diploma (Associate degree preferred) and an active coding certification such as CPC or CCS. Candidates must have over 5 years of RCM experience, including 3+ years of auditing specifically within healthcare billing and pain management.
Experience Required
Minimum 5 year(s)
Medical Assistant at Cornerstone Family Healthcare
Newburgh, New York, United States - Full Time
Skills Needed
Patient Care, Screening Procedures, Ekg, Point Of Care Testing, Infection Control, Triage, Patient Safety, Clinical Documentation, Pediatric Care, Vision Screening, Hearing Screening
Specialization
Candidates must have a high school diploma or equivalent and a current BLS certification. Ability to work a varied schedule including some evenings and one Saturday per month is required.
Recruiter at Nordic Healthcare Group (NHG)
, , Netherlands - Full Time
Skills Needed
Talent Acquisition, Full Cycle Recruitment, Sourcing, Stakeholder Management, Employer Branding, Ats/Crm Management, Data Driven Hiring, Diversity & Inclusion, Market Intelligence, Negotiation, Interpersonal Communication, Microsoft Office
Specialization
Requires 3+ years of recruitment experience across multiple functions and proficiency in ATS and sourcing tools. English fluency is required, with Dutch or German language skills strongly preferred.
Experience Required
Minimum 2 year(s)
Disability support worker at Nidda Healthcare Holding GmbH
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Medical Laboratory Technologist at Favorite Healthcare Staffing
New Jersey, New Jersey, USA - Full Time
Skills Needed
N/A
Certified Surgical Tech (CST) at Tenet Healthcare Corporation
Boca del Mar, Florida, United States - Full Time
Skills Needed
Surgical Scrubbing, Patient Care, Aorn Standards, Operating Room Techniques, Instrument Maintenance, Performance Improvement, Invasive Procedures, Sterile Technique
Specialization
Requires a high school diploma, graduation from an approved operating room technologist program, and at least one year of experience as a CST. Must hold American Heart Association BLS and Surgical Technologist certification.
Facility Outpatient Coder Team Lead at HCA Houston Healthcare Conroe
Conroe, TX 77304, USA - Full Time
Skills Needed
Coding Experience, Scheduling, Health Information Management, Ccs, Rhia, Payer, Training, Account Resolution, Quality Reviews, It, External Clients, Leadership, Coding Practices, Reporting, Work Processes, Revenue Cycle Management, Rhit, Payroll, Color
Specialization
Him/hit strongly preferred
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Associate Business Development Manager (m/w/d) im Bereich Gesundheit & Phar at United Healthcare Partners AG
Weinheim, Baden-Württemberg, Germany - Full Time
Skills Needed
Business Development, Customer Needs Analysis, Market Research, Presentation Creation, Contract Drafting, Analytical Thinking, Communication Skills, Microsoft Excel, Microsoft Powerpoint, Virtual Collaboration, Time Management, German Language, English Language
Specialization
A degree in Business Administration, Health Management, Industrial Engineering, or a similar field is required along with initial experience in consulting, marketing, or business development. Proficiency in Excel, PowerPoint, and fluency in both German and English are essential.
Experience Required
Minimum 5 year(s)
Cleaning Validation Engineer at Klosterfrau Healthcare Group
Berlin, Berlin, Germany - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Physical Therapy Assistant at Tenet Healthcare Corporation
Houston, Texas, United States - Full Time
Skills Needed
Patient Treatment, Clinical Documentation, Neonatal Care, Geriatric Care, Patient Centered Care, Clinical Competency
Specialization
Requires an Associate of Physical Therapy Assistant degree or equivalent verified military training. One year of experience is preferred.
Medical Administrator at Trident Healthcare Solutions
Victoria, Victoria, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Registered Dietitian - Per Diem at Community Memorial Healthcare
San Buenaventura (Ventura), California, United States - Full Time
Skills Needed
Nutrition Care Planning, Patient Education, Clinical Dietetics, Modified Diets, Acute Care, Clinical Nutrition, Diabetes Education, Nutrition Support
Specialization
Requires a Bachelor's or Master's degree in Nutrition, completion of a supervised practice program, and CDR certification. Preference is given to candidates with two years of acute-care experience or specialized certifications like CDE.
Experience Required
Minimum 2 year(s)
Patient Service Representative - Ophthalmology at Tenet Healthcare Corporation
Ellsworth, Kansas, United States - Full Time
Skills Needed
Front Office Processes, Patient Care, Medical Office Administration, Patient Services, Healthcare Management
Specialization
Requires a high school diploma or GED and at least 2 years of experience in a medical office setting. Completion of a medical office assistant program or a healthcare administration certification is preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Rehab FT night at Tenet Healthcare Corporation
San Antonio, Texas, United States - Full Time
Skills Needed
Nursing Care, Patient Assessment, Rehabilitation Nursing, Acute Care, Chronic Dialysis, Psychiatric Care, Crisis Intervention, Basic Life Support, Patient Management
Specialization
Must be a graduate of an accredited school of nursing with a current Texas State License for Registered Nurses and active BLS certification. A Bachelor's degree and specific experience in acute care or dialysis are preferred depending on the unit.
Patient Care Tech (PCT) - PreOp at Tenet Healthcare Corporation
Phoenix, Arizona, United States - Full Time
Skills Needed
Customer Service, Computer Skills, Interpersonal Communication, Patient Rights Knowledge, Aseptic Technique, Sterile Technique, Infection Control, Ekg Training, Patient Care
Specialization
Requires a High School Diploma/GED or a CNA/PCA/PCT certificate and CPR certification. One year of acute care experience and a CNA/LNA license from the Arizona State Board of Nursing are preferred.
Respiratory Therapist (RT) at Tenet Healthcare Corporation
New Braunfels, Texas, United States - Full Time
Skills Needed
Respiratory Care, Patient Care, Basic Life Support, Advanced Cardiovascular Life Support, Pediatric Advanced Life Support, Neonatal Resuscitation Program
Specialization
Candidates must be graduates of an accredited AMA Respiratory Care Program and hold a current RCP State of Texas License and NBRC CRT/RRT certification. Active BLS is required upon hire, with ACLS, PALS, and NRP certifications to be completed within 60 days as applicable.
Dishwasher - PT at ForeFront Healthcare Pvt Ltd
Washington, District of Columbia, United States - Full Time
Skills Needed
Dishwashing, Sanitation, Food Preparation, Time Management, Infection Control, Safety Compliance, Cleaning Routines, Meal Service
Specialization
Candidates must be able to read, write, and speak English and possess basic numerical ability for measuring chemicals and recipes. Knowledge of sanitation, safety practices, and the ability to work flexible hours are required.
Certified Nursing Assistant (CNA) - Med Surg at Tenet Healthcare Corporation
Brownsville, Texas, United States - Full Time
Skills Needed
Basic Nursing Care, Intermediate Nursing Care, Patient Care Support, Phlebotomy, Ekg, Patient Monitoring, Compassionate Care, Medical Assisting
Specialization
Requires a high school diploma and a current state or national nurse's aide certification or related technical certification. BLS certification from the American Heart Association is required, with one year of hospital experience preferred.
Certified Nursing Assistant (CNA) at Tenet Healthcare Corporation
West Palm Beach, Florida, United States - Full Time
Skills Needed
Patient Care, Patient Safety Monitoring, Compassionate Care, Patient Visualization, Clinical Assistance, Environment Maintenance
Specialization
Candidates must have a high school diploma or GED and a valid Certified Nursing Assistant license. Required certifications include BLS/CPR and CPI within 30 days of hire.
Paramedic at Tenet Healthcare Corporation
Goodyear, Arizona, United States - Full Time
Skills Needed
Patient Care, Emergency Response, Communication, Teamwork, Stress Management, Time Management, Documentation, Assessment, Triage, Basic Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support, Growth And Development Knowledge, Splinting, Ekg Competency, Chest Tube Competency
Specialization
Candidates must be graduates of an EMT-P training course and possess relevant certifications such as ADHS Paramedic Certification. Knowledge of growth and development principles and the ability to provide age-appropriate care are also required.